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All Journal Jurnal Gizi dan Pangan Jurnal Kebijakan Kesehatan Indonesia Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kesehatan Masyarakat Jurnal Riset Kesehatan Jurnal Kebijakan dan Administrasi Publik Jurnal Gizi Klinik Indonesia Amerta Nutrition Buletin Ilmiah Nagari Membangun Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Jurnal Kesehatan Jurnal Sehat Mandiri Jurnal Kesehatan Indonesia Health Sciences and Pharmacy Journal JURNAL ONLINE KEPERAWATAN INDONESIA Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Narra J Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Journal of Information Systems for Public Health Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Al Gizzai: Public Health Nutrition Journal Indonesian Journal of Community Development JKAP (Jurnal Kebijakan dan Administrasi Publik) Media Penelitian dan Pengembangan Kesehatan
Mubasysyir Hasanbasri
Departemen Biostatistik, Epidemiologi Dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperwatan, Universitas Gadjah Mada
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Enhancing the Patient Safety Program in Community Health Centers: The Role of Partnership as Middle Line in Optimizing Continuous Quality Improvement Haunan, Muhammad Hafiz; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: The quality of health services at community health centers, as a first-level health care facility, must be continuously improved to ensure patient safety. However, there are still many challenges in implementing an optimal patient safety program, especially related to the role and function of the Patient Safety Team and Quality Assurance Officer. Method: This study analyzed the organizational structure and effectiveness of the patient safety program at community health centers, based on Mintzberg's organizational model. It evaluates the role of internal and external resources in improving patient safety and proposes structural changes through the concept of partnership to improve patient safety program implementation. Results: The results showed that the implementation of patient safety at the community health center was not optimal, where the many duties of the Quality Team as Middle Manager led to neglect of the main functions in the patient safety quality improvement program. This resulted in ineffective patient safety practices and a lack of safety culture among health workers. This study demonstrates the benefits of a partnership concept to replace the Quality Team. With the implementation of the partnership concept, PHCs can partner with external agencies such as university research centers or consulting agencies as the middle line, which helps in regular monitoring and evaluation, thereby improving the effectiveness and efficiency of the patient safety program at the PHC. External resources can assist in monitoring and evaluation, allowing the Quality Team to focus on other tasks while outsourcing external resources to the patient safety program. Conclusion: Adopting the partnership concept in the organizational structure of community health centers can improve the implementation of patient safety in a sustainable manner. This approach can increase operational efficiency, improve service quality, and build public trust in the health center.
Should the Government Quality Control Agency Replace Community Health Center Accreditation? The Concept of Third Party with Metaregulation and Control Strategies Haunan, Muhammad Hafiz; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: Community health center accreditation in Indonesia is a method used to ensure that health care facilities perform continuous quality improvement. However, the efficacy of this method is still debatable. Many community health centers focus only on obtaining accreditation certificates without ensuring substantial quality improvement. The lack of empirical evidence supporting the claim that accreditation ensures quality improvement indicates the need for alternative solutions for quality control. Method: This study uses a Third Party approach by employing two policy strategies, namely metaregulation and control strategies. This study compares Indonesian practice with the quality control model implemented by the Care Quality Commission (CQC) in the UK and the Food and Drug Administration (BPOM) in Indonesia. The policies and impacts of the supervision conducted by these independent bodies are analyzed. Results: The analysis shows that the existence of an independent government quality control body can be more effective in ensuring continuous quality improvement than the community health center accreditation system. Case studies of CQC in the UK and BPOM in Indonesia show that regulatory agencies with executive authority are able to provide strict supervision and decisive action against providers who do not meet standards. The implementation of metaregulation and control strategies by government quality oversight bodies can encourage health centers to be more proactive in conducting continuous quality improvement. Supervisory bodies that are directly accountable to the central government can reduce interventions from interested parties, ensuring objectivity and effectiveness of supervision. Conclusion: Replacing the accreditation of community health centers with a Government Quality Control Agency that is independent and has executive authority can be a solution to ensure continuous quality improvement of health services in community health centers. The implementation of metaregulation and control strategies in the Third Party concept will create a more effective and sustainable regulatory environment. Thus, monitoring the quality of health services will be more assured, not only limited to meeting formal standards, but also ensuring continuous improvement in the practice of health services at community health centers.
Initiation of Strategic Collaboration between Local Government and NGO to Strengthen Primary Healthcare Services for At-Risk Communities during COVID-19: Lesson Learned from PUSPA Dhea Keyle Fortunandha; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: This case report aims to summarize the strategic collaboration between the West Java Provincial Government and CISDI in strengthening primary healthcare services for at-risk communities during the COVID-19 pandemic, with a focus on the PUSPA program. Content: The COVID-19 pandemic exposed the vulnerabilities of national healthcare systems, necessitating a shift from curative hospital treatments to preventive measures. West Java’s Governor, Ridwan Kamil, emphasized this need, leading to the allocation of IDR 80 billion towards the PUSPA program. This initiative, in partnership with CISDI, redirected resources from hospitals to community-based health centers (puskesmas), enhancing their capabilities in testing, tracing, and responding to COVID-19. Despite funding limitations, this strategic alliance exemplified the effectiveness of public-private partnerships in crisis management. The PUSPA program demonstrated that collaboration involving multiple parties can yield optimal intervention results, effectively addressing pandemic challenges and positively impacting public health.
The Importance of Local Communities in Addressing the Healthcare Human Resources Crisis in Remote Areas Rahmadhani, Alda Adiestya; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: This study aims to address the crisis of healthcare human resources in remote areas of Indonesia by exploring the potential of utilizing local communities to mitigate these challenges. The primary objective is to propose strategic measures to enhance the distribution and sustainability of healthcare professionals in these underserved regions. Method: The research reviewing existing policies, healthcare workforce distribution data, and the organizational structure of primary healthcare centers (Puskesmas) in remote areas. The analysis focuses on the integration of Mintzberg's organizational theory, emphasizing the importance of the Operating Core, which comprises healthcare providers directly involved in patient care. Data were collected through literature reviews and policy analysis. Results: The findings reveal significant disparities in the distribution of healthcare workers between urban and remote areas. Factors contributing to this imbalance include a lack of interest in working in remote locations, insufficient continuous professional development, and inadequate welfare support for healthcare workers in these regions. The study identifies the necessity of updating local government policies, specifically the remote area service decrees (SK Keterpencilan), to better reflect the current needs and conditions. Moreover, integrating local community members into the healthcare workforce is suggested as a sustainable solution. This includes recruiting local individuals through existing government programs like Nusantara Sehat, providing tailored educational programs, and enhancing supportive facilities and incentives for healthcare workers. Conclusion: To address the healthcare HR crisis in remote areas, it is crucial to revise existing policies, promote the involvement of local communities, and ensure adequate support and training for healthcare professionals. Implementing these strategies can improve the sustainability and efficiency of healthcare services in remote areas, ultimately enhancing health outcomes for these underserved populations.
Elevating Safety and Self-Value: Enhancing Professional Development to Reduce Heavy Vehicle Incidents in the Mining Industry Vena Jaladara; Sukmawan, Rezkiyantra Fajar; Hadi, Muhammad Septian; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: The mining industry continues to face a significant challenge with the high incidence of accidents involving heavy vehicle operators. Despite advancements in safety technologies and regulations, the frequency of these incidents remains alarmingly high. This perspective aims to explore the underlying reasons for this persistent issue, particularly focusing on the demanding nature of the mining environment and proposes possible solutions to overcome this issue. Content: Professional development is pivotal for enhancing morale and self-value among employees, crucial not only for reducing accidents but also for fostering a culture of safety and operational excellence in mining. Investing in growth enhances individual capabilities and cultivates a supportive work environment. Leadership development is key in nurturing safety champions, equipping supervisors and managers to promote safety, foster accountability, and inspire teams effectively. Mentorship initiatives facilitate knowledge transfer, fostering a supportive environment that enhances morale, job satisfaction, and safety commitment. Integrating workers' self-value into professional development through targeted training, competency assessments, and recognition programs empowers workers to own their safety and contribute positively to the culture. Access to professional development allows employees to shape their careers, enhancing job satisfaction and safety commitment. By prioritizing leadership and self-value alongside technical training, organizations can create a safer, more resilient workforce.
A Quo Vadis: Competency Resilience of Rural and Border Areas Healthcare Workers. Is It Sufficient? Ningrum, Dwi Asih Kartika; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: This study analyzes the need for competency adjustments among healthcare workers in rural and border areas. The novelty of this research lies in exploring existing education and training curricula and identifying specific needs to enhance healthcare services in rural areas, focusing on improving resilience and retention skills among healthcare workers. Methods: This study employs a literature review to formulate an appropriate education and training curriculum. The primary focus is identifying specific needs to improve healthcare services in rural and border areas. Results: The study found significant health issues related to the high risk of disease transmission, lack of facilities, and low retention of healthcare workers in cross-border health facilities. The National Border Management Agency has identified 222 border-crossing subdistricts requiring strengthened healthcare services. Healthcare workers in rural and border areas face unique challenges requiring specialized knowledge and skills, including health resilience involving readiness to handle disease outbreaks or natural disasters and adaptation to limited conditions. Current health education may not be sufficient to prepare professionals for these challenges. Efforts through rural internships during pre-service education are considered inadequate unless aligned with a specific rural curriculum. The Contextual Learning Model emphasizes learning through real-world situations and is the theoretical framework for curriculum development. This curriculum aims to enhance the understanding and management of health issues in everyday contexts, promoting the principles of social accountability in higher health profession education. Conclusion: Adjusting the competencies of healthcare workers in rural and border areas is crucial to improving healthcare quality. Recommendations are provided to policymakers to develop training programs tailored to the specific needs of healthcare workers in these areas, supported by infrastructure development to facilitate access to education and training. The primary outcome expected is improved community access to and quality of healthcare services in these regions.
Health system perspective of the role of DLH in strengthening household waste management: perception of a local environmental protection agency officers on open landfill systems Purwati, Alvi; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: The final waste disposal management in Indonesia is still largely dominated by open landfills, despite the need to move away from this method. In a health systems framework, any players work in connected with others. The perception of local environmental protection officers (DLH) plays a crucial role in this persistence. Some officers believe landfills are necessary for waste management, making it hard to eliminate their use. This study explores the perspectives of DLH officers on waste management systems, focusing on their views about landfills and the importance of managing waste from the source. Methods: A total of 11 DLH officers were selected as informants in this study, providing information through direct interviews or via email. Data was collected between March and April 2023. Results: The findings indicate that while some DLH officers recognize the need for sustainable waste management practices, their ability to change the existing system is limited by their current understanding and education. Conclusion: It is essential to ensure that DLH officers have the appropriate educational background and a clear understanding of their responsibilities. This will enable them to implement sustainable waste management practices effectively and positively impact the environment.
The approach of Community-Based Organizations in Stunting Management: A Case Study in Mentaya Hilir Selatan District, Kotawaringin Timur Regency Gromiko; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: Stunting is a serious public health issue in Indonesia, particularly in the Mentaya Hilir Selatan Subdistrict, Kotawaringin Timur Regency. This study aims to explore the role of Community-Based Organizations (CBO) in efforts to address stunting in the region. Methods: This research uses a qualitative case study approach with data collection techniques including in-depth interviews with 33 informants, observations, and document analysis. The study subjects consist of midwives, community health volunteers, members of the Family, Welfare Movement (TP-PKK), family planning cadres, mothers in the community, and program managers at the subdistrict/village level. Data were analyzed using content and thematic analysis methods. Results: The findings show that CBOs in Mentaya Hilir Selatan play a crucial role in handling stunting through various programs such as Pos Gizi Bunting , Posyandu, Aksi Cegah Stunting (ACS), Dahsyat (Dapur Sehat Atasi Stunting), and the Family Assistance Team (TPK). These programs involve activities such as nutrition education, cooking demonstrations, toddler weighing, and home visits to monitor the condition of pregnant women and young children. Conclusion: Community-based approaches through CBOs have proven effective in addressing stunting issues in Mentaya Hilir Selatan. The success of these programs is supported by good collaboration between various sectors, active community participation, and support from the government and related institutions.
The Role of Organizational Support in Health Program Implementation Hasanbasri, Mubasysyir; Jaladara, Vena
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: Delays in improving public health are closely related to the population's social and economic issues. These delays are also linked to various obstacles in implementing programs that have been proven effective in other countries. Some improvements in overcoming these barriers have occurred related to the support for field activities. This research characterizes the five organizational elements used to implement essential health programs in Indonesia. Methods: We used the five organizational elements framework, which emphasizes the roles of service delivery, frontline workers, support systems, and program managers. Findings: The clarity in contracts for program managers is often seen as a clarity in administrative functions rather than a focus on problem-solving functions within the community. This understanding is crucial for devising effective strategies for program implementation. Moreover, there is an urgent need to strengthen the support system functions that assist frontline workers, a critical step in ensuring the smooth execution of health programs. Conclusion: The success of health programs is intricately tied to the effectiveness of program managers. It is not just a role but a crucial responsibility for community health centers (Puskesmas) to adopt an internal worker contract approach for program managers. Furthermore, program managers should operate under a contract as leaders for frontline workers and support systems, underscoring their pivotal role in the process.
Prevalence and Determinants of Malnutrition Among Children Under Five in Ethiopia: Ethiopian Mini Demographic Health Survey (EMDHS) 2019 Degu, Dawit Ayenew; Hasanbasri, Mubasysyir; Arjuna, Tony
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: This study aims to assess the prevalence and determinants of malnutrition among children under five in Ethiopia, with evidence from the 2019 Ethiopian demographic and health survey as evidence. Methods: The data were analyzed from the 2019 EMDHS, and 3680 (939 urban and 2,741 rural) children under 5 years old were considered in this analysis. The data was extracted, edited, and analyzed using SPSS Version 26. Binary logistic regression models were used to identify the determinants of children's malnutrition. Results: The prevalence of stunting, wasting, and underweight was 31.7%, 9.4%, and 17%, respectively. About 24.5% of children were both stunted and wasted. Among the factors considered in this study, residence region, breastfeeding, electricity, mothers’ education level, household wealth index, child sex, and water and toilet facilities were significantly associated with under-five malnutrition in Ethiopia. Conclusion: Malnutrition among under-five children is one of Ethiopia's public health problems. Therefore, the influence of these factors should be considered in developing an evidence-based health policy and implementing interventions in the healthcare system that target stunting, wasting, and underweight, which can lead to better outcomes for children under five in Ethiopia.
Co-Authors A Tudiono A.A. Ketut Agung Cahyawan W Abdullah, Fadila Achmad Nursyandi Adi Utarini Aditya Lia Ramadona Affan, Auf Ahmad Watsiq Maula Ahmad Zacky Anwary Aim, Markus Aini Suryani Alfian R Munthe Andina Vita Sutanto Andina Vita Sutanto Andreasta Meliala Andri Satriadi Firmana Arjuna, Tony Astri Ferdiana Aulawi Aulawi Azis Bustari Bagian PKMK, Fakultas Kedokteran UGM Bagian Prodi Kesehatan Masyarakat, FKM UNISKA Bagian Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM Bambang Hastha Yoga Batubara, Irwan Bayu, Yoni Setyo Nugroho BSA, Amira Candra Candra Christantie Effendy Christina Pernatun Kismoyo Citra Widya Kusuma Cuyno Mellen, Renie Darwito, Darwito Degu, Dawit Ayenew Detty S. Nurdiati DEWI HERAWATI Dhea Keyle Fortunandha Dian Mawarni Djaswadi Dasuki Djoko Mardijanto Djonny Sinaga Dwi Handono Sulistyo Dwi Maiyanthi Eko Nugroho Eko Nugroho Eko Sriyanto Eko Sriyanto Elfrida Tambun Emy Huriyati Eva Rusdianah Fahri, Kharis Vidi Faisal Mansur Fajar Wahyuni Fauziah, Saidatul Febe, Ester Febria Rahmi Fithri Zamzam Fitriani Mediastuti Ghani Ikhsan Majid Ghosyasi, Arfiny Gromiko Guardian Yoki Sanjaya Gufria D.Irasanty Hamdiah, Irma Handika, Denis Oxy Hari Kusnanto Hari Kusnanto Hari Kusnanto Hariawan, Muhammad Hafizh Haunan, Muhammad Hafiz Helmyati, Siti Heri Priyatmoko Hieronimous Amandus Ida N Faizah Ignasius Luti Inriyani Takesan Isak Iskandar Radja Ishak SKM., MPH Isnaini Putri Iswarno Iswarno Jairani, Eka Nenni Jati Untari Jumarko, Jumarko Juraidin JURAIDIN JURAIDIN JURAIDIN krisnawati, arini Kus Winarno Laksono Trisnantoro Lely Lusmilasari, Lely Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lucia Sri Rejeki Lussy Messiana Gustantini Lussy Messiana Gustantini, Lussy Messiana Lutfan Lazuardi Lutfan Lazuardi Lutfan Lazuardi Lutfan Lazuardi Lutfan Lazuardi Marnaza Yusman Mellen, Renie Mohamad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Monica Dara Delia Suja Muhamad Almas Radifan Muhammad Septian Hadi, Muhammad Septian Musa Musa Mustofa Mustofa Nana Diana Nilasari Nina Rahmadiliyani Ningrum, Dwi Asih Kartika Ningrum, Ema W. Nisa, Syifa Nisa Novi Inriyanny Suwendro Noviana Nur Sari Novriana, Riska Nunung Priyatni Nunung Priyatni Nur Faizah, Ida Nurlita, Aphrodite Nadya Ova Emilia Pandawa, Rugaya Pandawa, Rugaya Munawar Praditia, Irsa Gusninda Pratiningsih, Widya Ayu Priyatni, Nunung Puji Rahayu Purwandari, Ari Purwati, Alvi Qaimamunazzala, Hayu Radifan, Muhamad Almas Rahayu, Meyi Setiawati Rahmadhani, Alda Adiestya Retna Siwi Padmawati Retno Heru Rini, Ika Sulistya Riris Andono Ahmad Rofiatun Rofiatun Rofiatun Rofiatun Rofiatun, Rofiatun Rossi Sanusi Said Muntahaza Sarto Setyaningrum, Vernika Evita Setyaningrum, Veronika Evita Setyaningrum, Veronika Evita Shofan Ardianto Siti Suryati Siwi Padmawati, Retna Sri Surahmiyati Sri Wiyanti Sudiyo, Sudiyo Suka, Veronika Sukmawan, Rezkiyantra Fajar Sulistyo, Dwi Handono Supriyati Supriyati Susi Irawati Sutena, Marthinus Syafriani Syafriani Syafriani, Syafriani Syamsinar Syifa Atun Nisa Tiara Marthias Titik Nuryastuti Tri Wahyudi Tri Wibawa Upiek Sumanti Utami Putri Kinayungan Vena Jaladara Veronika Evita Setianingrum Veronika Suka Vicka Oktaria Wa Ode Siti Orianti Wahyudi Wahyudi Wahyudi Wahyudi Widodo Wirawan Widya Ayu Pratiningsih Wigati, Maria Wildan Akbar Wiranto Yanri Subronto Yanri Wijayanti Subronto Yatik Krisliani Yayuk Hartriyanti Yodi Mahendradata Yosef Leu Maing Deni Kurniadi Sunjaya Supriyati Yuliastuti Saripawan Yundari, Yundari Zahra Anggita Pratiwi Zul Afril